Active NPI
Amanda Winn, MD
- Pediatric Endocrinology Physician
- Philadelphia, PA
National Provider Identifier
1588300255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- MT233138
- Practice address
- 3401 Civic Center Boulevard
Division of Pediatric Endocrinology
Philadelphia, PA 19104 - Phone
- (215) 590-3174
- NPI assigned
- May 6, 2022
- Last updated
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Pediatric Endocrinology Physician | 2080P0205X | MT233138 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Boulevard
Division of Pediatric Endocrinology
Philadelphia, PA 19104
Mailing address
Maimonides Medical Center
4802 10TH Avenue
Brooklyn, NY 11219
Phone (718) 283-6000
Other practice location 1
Maimonides Medical Center
4802 10th Avenue
Brooklyn, NY 11219
Phone (718) 283-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT233138 | PA | MD | Pediatric Endocrinology Physician |
Interoperability endpoints
- amanda.winn.p1@direct.mmc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1588300255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MAIMONIDES MEDICAL CENTER",
"address_2": "4802 10TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BOULEVARD",
"address_2": "DIVISION OF PEDIATRIC ENDOCRINOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-3174"
}
],
"practiceLocations": [
{
"address_1": "MAIMONIDES MEDICAL CENTER",
"address_2": "4802 10th Avenue",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11219",
"country_code": "US",
"telephone_number": "718-283-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINN",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "PA",
"license": "MT233138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.